Visa application form new - India Visa

1 application form FOR India visa India visa Centre, Kuala Lumpur India visa Centre, Penang India visa Centre, Johor Bahru G-01, Straits Trading Building No. 105, Lebuh Chulia Suite 325, 3rd Floor, Pan Global Plaza Lebuh Pasar Besar 10200 Penang Jalan Wong Ah Fook, 80000 Johor Bahru 50050 Kuala Lumpur Tel: 04-250 5000 / 1 Tel: 07-222 3325 Tel: 03-2692 2692 Fax: 03-2698 2692 Fax: 04-250 5002 Fax: 07-222 0325 E-Mail: E-mail: E-mail: visa Centre Managed By: Grandlotus India visa Centre Sdn Bhd. (360206-P) _____ Important Instructions 1. application form is to be completed in all respects and signed by the applicant and not by any Agent. applications with incomplete details are liable to be rejected. application form of minor (below age 15 years) needs to be signed by the mother/ father/ legal guardian.

2 Passport copy of mother/ father/ legal guardian and birth certificate of the minor applicant may be enclosed with the 2. visa application of non-Malaysian foreigner who is not resident of Malaysia is liable to be rejected. Non-Malaysian third country applicants who are permanent residents of Malaysia/ holding work permit in Malaysia may enclose photocopies of supporting document along with visa application . Processing of such applications would take at least 5 working days. 3. There should be a gap of 60 days from date of last exit from India and next entry into India under a tourist visa . 4. People of Indian Origin are eligible for Entry visa (X- visa ). Such applicants may attach copy of support documents with application . 5. Tourist visas are non-extendable and non-convertible. 6. Validity of a visa starts from the date of issue and not from the date of travel. Possession of confirmed travel ticket/ hotel bookings is not valid ground for issuance of visa .

3 7. visa fee including service fee is non-refundable. 8. Passport / Travel Document need to be valid for at least six months with minimum 2 unused pages while applying for a visa . 9. Transit visa : To produce confirmed air ticket; Business visa : To adduce proof of business in India ; Student visa : To adduce proof of admission in a recognized institution in India ; Employment visa : To adduce proof of employment in India ; Other visa : Consult the Counter at visa centre. 10. visa FEE visa fee is to be paid in cash. (a) Transfer of visa RM (b) Transit visa RM (c) visa valid up to 6 months (Tourist) RM (d) visa valid for 1 year (Business/Employment) RM (e) Student visa (for duration of the Course or for the period of 5 years which ever is less) RM (f) visa valid for more than 1 year up to 5 years (Except Student visa ) RM (g) Processing Fee (For Non-Malaysian Passports) RM (h) Service Fee RM (i)

4 Additional fee High Commission of India RM 11. For more information you may visit web site PART A 1. (a) Full Name ( in Block Letters) (b) Surname at birth (if different).. (c) Marital (d) Father s (e) Husband s Name (if applicable).. 2. Whether any children accompanying the applicant are included in his/her passport. If so, give the following details:-_____ Name Place & Date Birth Sex Relationship Identification mark if any_____ i) _____ ii) _____ _____ _____ 3. Address: (a) Permanent .. (b) 4. Date of Birth .. 5. Place of Birth .. (Place) (Province) (Country) 6. Present Nationality: .. 7. Any other Nationality, previous or present with details.

5 8. Profession or Occupation (give details of company and its address with Tel No. Fax E-mail): .. Mobile: ..Tel: .. Fax: .. E-Mail: .. 9. Passport Particulars: (a) (b) Place of (c) Date of (d) Date of (e) Identity Card no. (For Malaysian Only).. (f) Date of Expiry of re-Entry Two recent colour passport size photographs (5cm x 4cm) FOR OFFICE USE ONLY Receipt No .. Type of visa .. visa No date .. Verified by .. Signature .. Date .. 10. Have you visited India previously? If so, indicate Places / Dates: (From present to past): Places: .. Dates: .. If visited, last date of departure from India :.. 11. Whether permission to visit India or to extend stay in India has been refused previously? If so when? .. 12. (a) Period for which visa is required (duration).. (b) Probable date of arrival in India .. (c) Whether a single, double or multiple visa is 13. Purpose of Journey (any ONE only from (a) to (g) below).

6 (a) Tourism (Place/Area To be Visited) .. (b) Transit (Place/Country to visit further) .. (c) Business (Trade/Project/Scheme, Must Enclose Letters from Malaysian & Indian Companies with Certificate of Business Registration) .. (d) Student/Education .. (i) Name and particulars of education institution to be attended (Original Bonafide letter of the institution to be provided).. (ii) No Objection certificate from the respective Ministries in India (to be furnished).. (e) Employment (Furnish details).. (f) Conference / Seminar ( Must enclose Invitation letter from India & Malaysia Companies).. (g) Entry (Furnish Supporting Documents).. (h) Any other .. PART B 1. Whether holding valid, No Objection to Return Endorsement . If so, give particulars: .. 2. State, Town, etc of Destination in India : .. 3. (a) Port of Landing in India :.. (b) Port of departure in India : .. 4. Name and address of person who will furnish information as to application and also furnish guarantee for maintenance and repatriation if referred to: IN COUNTRY OF THE APPLICANT NAME.

7 ADDRESS (in full).. IN India (TOURIST MAY STATE HOTEL ADDRESS) NAME: .. ADDRESS (in full).. PART C I, .. hereby undertake that I shall utilise my visit to India for the purpose for which the visa has been granted and shall not , on arrival in India , try to obtain employment or set up business or to extend my stay for any purpose. I fully understand that if any of the particulars furnished above are found to be incorrect, or if any of the information is found to have been withheld, the visa is liable to be cancelled at any time. I hereby undertake that I shall subject myself to medical tests including for AIDS within one (1) month of arrival in India . In case I am found HIV positive, I will leave India . Date: .. Signature of the Applicant Note: 1. visa application would be received between 9:00am to 2:00pm during any working days. 2. Collection of visa at India visa Centre, Kuala Lumpur is 5:00pm to 5:30pm on the next ( 2nd) working day.

8 3. Collection of visa at Penang and Johor Bahru is on the 4th working day. 2:00pm onwards.